YDS-33378-19156
5 vaccinations
7 coded responses
44 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 922 / CA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Moderna
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-03-12
Dose 2 — Moderna
- 2021-03-16
-
2021-03-23
Survey response — day 7, dose 2MedDRA: General symptom — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: These symptoms started & lasted for 48 hours after my 2nd doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
-
2021-06-11
Survey response — 3 months, dose 2MedDRA: Dizziness, Headache, Medical counselling, Neck pain, Pain in extremity, Thrombosis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Blood clot, dizziness, neck & arms pain with headaches. · Healthcare visit (other): MRI & MRA of my brain, echogram, sonogram of my veinsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-11
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-22
- 2021-09-10
-
2021-11-12
Dose 3 — Pfizer-BioNTech
- 2022-03-12
-
2022-04-20
Dose 4 — Pfizer-BioNTech
- 2022-04-26
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
-
2022-06-01
Survey response — day 42, dose 4MedDRA: Sensation of foreign body — Feeling: FairFree text: My throat hurts feels like I have something stuck in it. I am able to swallow but it feels like something is stuck. This started last night after eating some Hot tamales candiesMedDRA releases: 2024-11 · check-in free text available
- 2022-07-20
-
2022-10-14
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-14
-
2022-10-15
Survey response — days 1–6 daily, dose 5MedDRA: Pyrexia — Feeling: Fair · Site: Redness, Swelling · FeverFree text: Feverish was when I was sleepingMedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
- 2022-10-17
- 2022-10-18
-
2022-10-19
Survey response — days 1–6 daily, dose 5MedDRA: Erythema — Feeling: Good · Site: SwellingFree text: Redness disappearedMedDRA releases: 2024-11 · check-in free text available
- 2022-10-20
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
-
2022-11-25
Survey response — day 42, dose 5MedDRA: Dysphonia — Feeling: FairFree text: My voices trembles periodicallyMedDRA releases: 2024-11 · check-in free text available
-
2023-01-13
Survey response — 3 months, dose 5MedDRA: Ear infection, Pharyngitis — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-11-12 | Pfizer-BioNTech | No |
| 4 | 2022-04-20 | Pfizer-BioNTech | No |
| 5 | 2022-10-14 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-11 | Unsuccessful |
Free text
Release 6 — day 7, dose 2
Systemic reaction (other): These symptoms started & lasted for 48 hours after my 2nd dose
Release 9 — 3 months, dose 2
Symptoms: Blood clot, dizziness, neck & arms pain with headaches.
Healthcare visit (other): MRI & MRA of my brain, echogram, sonogram of my veins
Release 11 — day 42, dose 4
Symptoms: My throat hurts feels like I have something stuck in it. I am able to swallow but it feels like something is stuck. This started last night after eating some Hot tamales candies
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Feverish was when I was sleeping
Systemic reaction (other): Redness disappeared
Release 12 — day 42, dose 5
Symptoms: My voices trembles periodically
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pharyngitis | · | · | ✓ |
| SD | Sensation of foreign body | · | · | ✓ |
| SD | Thrombosis | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | General symptom | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release